Month: August 2017

What is ERCP

ERCP_Page_2-1ERCP is a procedure that enables your physician to examine the pancreatic and bile ducts. A bendable, lighted tube (endoscope) about the thickness of your index finger is placed through your mouth and into your stomach and first part of the small intestine (duodenum). In the duodenum a small opening is identified (ampulla) and a small plastic tube (cannula) is passed through the endoscope and into this opening. Dye (contrast material) is injected and X-rays are taken to study the ducts of the pancreas and liver.

Why is an ERCP Performed?

ERCP is most commonly performed to diagnose conditions of the pancreas or bile ducts, and is also used to treat those conditions. It is used to evaluate symptoms suggestive of disease in these organs, or to further clarify abnormal results from blood tests or imaging tests such as ultrasound or CT scan. The most common reasons to do ERCP include abdominal pain, weight loss, jaundice (yellowing of the skin), or an ultrasound or CT scan that shows stones or a mass in these organs.

ERCP may be used before or after gallbladder surgery to assist in the performance of that operation. Bile duct stones can be diagnosed and removed with an ERCP. Tumors, both cancerous and noncancerous, can be diagnosed and then treated with indwelling plastic tubes that are used to bypass a blockage of the bile duct. Complications from gallbladder surgery can also sometimes be diagnosed and treated with ERCP.

In patients with suspected or known pancreatic disease, ERCP will help determine the need for surgery or the best type of surgical procedure to be performed. Occasionally, pancreatic stones can be removed by ERCP.

EXPANDING THE USE OF THE ROBOT IN GENERAL SURGERY

roboticsThe robot is widely used within urology and gynecology, with general surgery seen as the next frontier for expansion on the platform. There is considerable evidence that enthusiasm for robotics is escalating among general surgeons. According to the marketing division of Intuitive Surgical, the company that markets the da Vinci surgical system, general surgeons are among those most commonly completing the clinical pathway required for credentialing. Dr. Johnson has been using this minimally invasive method for several years now with excellent results.

Doctors agree that it is like having a second set of hands. With assistance from robotic arms, they can make micro-movements to enhance hand maneuverability. Magnified, three-dimensional images give better visibility in small confined spaces that are difficult to see and operate in, even when doing open surgery. The robotic system is able to facilitate surgery deep in the body, giving tremendous visualization and access that was previously not possible. This has enabled minimally invasive surgery for both malignant and benign diseases. These patients can now experience the benefits of less pain and shorter recovery times.

With the da Vinci Robotic Surgical System, Dr. Johnson can operate through just a few small incisions. The system features a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human wrist. As a result, it enables Dr. Johnson and other surgeons to operate with enhanced vision, precision, dexterity, and control. Minimally invasive da Vinci uses the latest in surgical and robotics technologies, and is beneficial for performing both routine and complex surgeries.

As with any treatment option, robotic surgery may not be appropriate for everyone. You should discuss treatment options with Dr. Johnson to find out if you are a good candidate for robotic surgery.

Read more online at: http://bulletin.facs.org/2013/07/the-future-of-robotics/